Tag: Claim Denial Rate

Rising-Denied-Claims-impact-on-Cash-flow-Delays-for-Hospitals

Rising Denied Claims: Impact on Hospitals’ Cashflow Delays

Hospital bills that remain unpaid for over 90 days often stem from claims that were initially rejected by payers. Additionally, the longer a bill is initially declined, the greater the likelihood that it will take more than 90 days to be resolved. These discoveries are highlighted in a recent report by Healthcare Consulting Company, which […]
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Outsourcing RCM benefits

From Cost Savings to Revenue Growth: How Outsourcing RCM Benefits Providers?

Prompt payment to healthcare providers for their services is crucial for a detailed discussion on managing macro costs, quality, and equity. Without it, addressing the issue of rising healthcare costs becomes challenging. Healthcare providers are well aware that getting paid is not an easy task. A quick search for revenue cycle management (RCM) reveals 16-step […]
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ICD-10-CM-Guideline-Revisions-Revealed-for-the-year-2023

ICD-10-CM Guideline Revisions Revealed for the year 2023

New guidelines remove ambiguity for some diagnosis coding in 2023. The ICD-10-CM Official Guidelines for Coding and Reporting is updated every year, but if you’re not in the habit of reviewing the guidelines at least annually, chances are your diagnosis coding is noncompliant and your claim denial rate is high. In the general session Diagnosis […]
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